Billing Executive - PP - 01 April || Raj Thomas ( D/s )

Payment Posting Oversight:

• Supervise and lead a team responsible for accurately posting payments from insurance companies, government payers, and patients.
• Ensure adherence to established posting guidelines and regulatory requirements.

Reconciliation and Accuracy:

• Oversee the reconciliation of payments to corresponding claims and billing records.
• Implement processes to identify and address discrepancies in payment posting.

Denial Resolution:

• Collaborate with the denial management team to resolve payment-related denials promptly.
• Analyse denial trends and work towards preventing future payment issues.

Team Leadership:

• Provide guidance, training, and mentorship to payment posting team members.
• Foster a collaborative and results-driven team environment.

Quality Assurance:

• Implement and maintain quality assurance processes to ensure the accuracy and integrity of payment posting.
• Conduct regular audits and provide feedback for continuous improvement.

Process Optimization:

• Identify opportunities to streamline payment posting workflows and enhance overall efficiency.
• Collaborate with cross-functional teams to implement process improvements.

Reporting and Analysis:

• Generate and analyze reports related to payment posting performance.
• Provide regular updates to management on key performance indicators and areas for improvement.

Compliance:

• Stay informed about changes in payment regulations and compliance requirements.
• Ensure that payment posting processes align with industry standards and regulations.

Qualifications:

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field.
• Extensive experience in payment posting within the healthcare domain.
• In-depth knowledge of healthcare payment systems, including EOBs, remittance advice, and electronic funds transfer.
• Strong leadership and team management skills.
• Detail-oriented with a focus on accuracy in payment reconciliation.
• Excellent communication and interpersonal skills.
• Proficient in using payment posting software and electronic health record (EHR) systems.